3003 W CASINO RD BLDG 40-31 2025-04-11

BOLDING PERMIT APPLICATNtft I� ``!' y'IO CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements a-1 mberd tlop&iregal for re WASHINGTON then drop off completed application plus all required submittal documents to 3200 e6 r Street 2nd Floor Intake Drop . CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)Amefet b ovter E I T (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Piermit S rvir-Pc PROJECT SITE ADDRESS: STREET 3003 West Casino Rd PARCEL#: 28041000100200 cnTY Everett STATE Wa ZIP 98204 SUITE/UNIT#: O 3I FLOOR#: !lam ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Boeing LEGAL DESCRIPTION for new construction. Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing Co OWNER MAILING ADDRESS: STREET 3003 West Casino Rd crTY Everett STATE Wa ZIP 98204 OWNER PHONE: 425-260-2668 OWNER EMAIL: todd.j.haberlack p@boeing.COM CONTRACTOR COMPANY NAME:TBD W a pa hri o f (,oVtsi- 2[� WA STATE CONTRACTOR LICENSE#(REQUIRED):WASHI.X-'0b CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 3 i OS CONTRACTOR ADDRESS: STREET CITY n STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: DS6,1`(ok.... toctix i)d-1-, Cirivt, PRIMARY CONTACT: El OWNER ElCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-260-2668 Todd Haberlack CONTACT EMAIL:todd.j.haberlack@boeing.com BUILDING INFORMATION VALUATION OF WORK: $225,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Manufacturing PROPOSED USE OF BUILDING:Manufacturing HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: DEMOLITION OF AN EXISTING WALL TO SUPPORT THE RELOCATION OF 40-05 PRIT/PRAT 1 TO WITHIN THE NW 40-31 BUILDING. ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with nlocal law. Thegranting of apermit onlyauthorizes approved work and no deviations therefrom.Deviations must first be authorized in writingfrom the current federal,state,and a g t g pp Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# .4/ /AA— 573 1/402:3 °6 - -<-) Owner/Authorized Agent Signature Date (Revised 4/21/2022)